Introduction
For a novice nurse adapting to a new practice environment, it is imperative to find experienced colleagues, who would be willing to share their clinical knowledge and offer support in challenging situations. Several years ago, as I started my first nursing job in the intensive care unit, Mr. Arcieri, who was one of the senior staff nurses in the unit, helped in my transition into a new role. His commitment to excellence, outstanding nursing skills, and readiness to lend a helping hand greatly impacted my experience at the inception of my nursing career.
Although our career paths separated a while ago, Mr. Arcieri continues to be my mentor and a resource person as I am pursuing my advanced nursing degree. During the time of deliberation, …show more content…
The incongruity between the academic world and the reality of the work environment is one of the common reasons for developing an internal value conflict. Holistic care is highly emphasized as central to the nursing practice in any APRN program curriculum. In actuality, however, employers frequently consider this crucial quality less important, prioritizing organizational efficiency and more tangible clinical skills instead (Hamric, Henson, Tracy, & O’Grady, 2009, p. 97). Organizational barriers, which APNs seeking to provide wholesome care must overcome, often result in compromised patient care and decreased job satisfaction (Shea, 2015, p. …show more content…
Often insurance companies do not maintain consistency in who do they recognize as eligible providers, what services they would pay for, and how they would reimburse for those services (Kunic and Jackson, 2013). Mr. Arcieri articulated the latter problem, stating that frequently he has to spend a considerable amount of time trying to fight the bureaucracy of third-payer companies. Consequently, the process of obtaining authorization for a variety of essential clinical studies and vital medications takes away potential time APRNs could spend with their patients. Shorter visits and longer waiting time for appointments ultimately results in decreased customer and provider satisfaction, compromised quality of care and jeopardized patient safety (Foderman,
For a novice nurse adapting to a new practice environment, it is imperative to find experienced colleagues, who would be willing to share their clinical knowledge and offer support in challenging situations. Several years ago, as I started my first nursing job in the intensive care unit, Mr. Arcieri, who was one of the senior staff nurses in the unit, helped in my transition into a new role. His commitment to excellence, outstanding nursing skills, and readiness to lend a helping hand greatly impacted my experience at the inception of my nursing career.
Although our career paths separated a while ago, Mr. Arcieri continues to be my mentor and a resource person as I am pursuing my advanced nursing degree. During the time of deliberation, …show more content…
The incongruity between the academic world and the reality of the work environment is one of the common reasons for developing an internal value conflict. Holistic care is highly emphasized as central to the nursing practice in any APRN program curriculum. In actuality, however, employers frequently consider this crucial quality less important, prioritizing organizational efficiency and more tangible clinical skills instead (Hamric, Henson, Tracy, & O’Grady, 2009, p. 97). Organizational barriers, which APNs seeking to provide wholesome care must overcome, often result in compromised patient care and decreased job satisfaction (Shea, 2015, p. …show more content…
Often insurance companies do not maintain consistency in who do they recognize as eligible providers, what services they would pay for, and how they would reimburse for those services (Kunic and Jackson, 2013). Mr. Arcieri articulated the latter problem, stating that frequently he has to spend a considerable amount of time trying to fight the bureaucracy of third-payer companies. Consequently, the process of obtaining authorization for a variety of essential clinical studies and vital medications takes away potential time APRNs could spend with their patients. Shorter visits and longer waiting time for appointments ultimately results in decreased customer and provider satisfaction, compromised quality of care and jeopardized patient safety (Foderman,